Lookup NPI Numbers from the NPI Registry
NPI Profile for CRYSTAL MOON in LAS VEGAS, NV.
An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Prosthetist |
224P00000X | 56 | Individual Certified Prosthetist |
| NPI Number | 1629535810 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/25/2019 | |
| Last updated | 02/25/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CRYSTAL MOON
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CRYSTAL MOON